NPI | 1528119096 |
---|---|
Doing Business As | WYNMERE PLACE |
Entity Type | Organization |
Authorized Contact | DEVOLIA PRATT SWEET Assistant Director 336-382-6658 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-658) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2019-06-04 |