| NPI | 1497873517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGARET SEAGRAVES Owner Administrator 919-362-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC FCL-092-031) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |