| NPI | 1295949592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERTHEL ANDERSON Owner 919-344-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-096-106) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |