| NPI | 1396133203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVOLIA SWEET Assistant Director 336-382-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |