| NPI | 1487821120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SCOTT DAVIS President/Owner 252-315-6286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-098-124) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |