NPI | 1376673616 |
---|---|
Other Name | RAINBOW HOUSE |
Entity Type | Organization |
Authorized Contact | DALTON E STATON Program Manager 252-946-7094 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-007-005) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2020-08-22 |