| NPI | 1457649956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI JOHNSON Director Of Operations 336-512-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC mhl-001-206) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |