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 |