| NPI | 1427485788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON MCKENZIE Owner 910-583-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1956AD873601) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |