| NPI | 1285735068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON C. RAU Executive Director 336-812-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL-041-139) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |