| NPI | 1265880090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD AKOWUAH Assitant Adminstrator 919-308-3613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH4911) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4911) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2017-06-26 |