NPI | 1376501973 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE D. SMITH Executive Director 910-323-1817 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2012-01-10 |