| NPI | 1437279551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA DENISE CHESTNUT Administraor 919-401-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 032339) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |