| NPI | 1437246345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GABRIEL MOORE CEO 252-752-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 88301613B) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-074-164) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-05-05 |