| NPI | 1316173057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCMILLAN Diretor 336-404-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-001-174) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |