| NPI | 1285768044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHA SHAMEIKA JONES Owner 919-252-2478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 096191) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |