| NPI | 1285057166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KEY Director 336-254-8798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 001152) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |