| NPI | 1528247095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SELLARS CEO 336-689-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC mhl001152) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |