| NPI | 1477331130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE DUGGER Director 336-701-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |