| NPI | 1538351531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDA NIDIA WARD Administrator/ Owner 910-867-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |