NPI | 1518355379 |
---|---|
Doing Business As | HARLEE MAC GROUP HOME -1 |
Entity Type | Organization |
Authorized Contact | TAMARIA MCCOLLUM Owner 252-526-7781 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-054-173) |
Enumeration Date | 2015-01-02 |
Last Update Date | 2015-01-02 |