| NPI | 1275025694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY TERRY Chief Of Operations 252-452-6075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-16 |