| NPI | 1447789243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BROOKE MANESS Owner 336-343-3726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-07-21 |