| NPI | 1295960326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MCALLISTER Director 910-868-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 8301769h) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 8301769g) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |