| NPI | 1376849158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MCLEAN Owner 910-864-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 026-913) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |