NPI | 1497410526 |
---|---|
Entity Type | Organization |
Authorized Contact | DORESSIA MCKETHAN President 910-797-7490 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-11-03 |
Last Update Date | 2022-12-05 |