| NPI | 1528315595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG POWELL C.E.O 252-267-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 5354758) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |