| NPI | 1275678690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON OSBORNE Director 336-227-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL-001-016) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-06-01 |