| NPI | 1447370903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUELLA TATE Owner 919-217-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-092-553) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-12-10 |