| NPI | 1376837369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI JOHNSON Director Of Oerations 336-512-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |