| NPI | 1497087670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT WARREN CANNADY Director 919-809-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-11-19 |