| NPI | 1346511748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY LOUIS CUNNINGHAM Director/Qp 336-734-3824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-041-1039) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2022-02-18 |