| NPI | 1306544978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE DANIELS Director 252-373-2631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-10-11 |