| NPI | 1306381801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETRASKY PRESSELY Executive Director 1704-674-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-036-319) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |