| NPI | 1366712622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZUMA ASI Administrator 919-900-8916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC mhl-092-829) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |