| NPI | 1376699819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRON HORATIOUS SIMPSON Executive Director 919-680-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-032-322) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-06-13 |