| NPI | 1477603751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L GARDNER Director 919-580-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-096-181) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |