| NPI | 1326327461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE JOHNSON President/Owner 252-714-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2011-08-07 |