| NPI | 1518180769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA R MILLIKEN Treasurer 919-771-8197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-092-667) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |