| NPI | 1447776430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY C IKEJIAKU Manager 919-791-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC mhl-092-539) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |