| NPI | 1336094598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINTICE TARANCE GALBREATH Owner 910-257-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2026-03-03 |
| Last Update Date | 2026-03-03 |