| NPI | 1316080039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK WILSON Director Of Operations 919-662-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-076-056) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |