NPI | 1538895768 |
---|---|
Entity Type | Organization |
Authorized Contact | SPENCER HINTON CEO 252-205-7344 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-07-29 |
Last Update Date | 2024-12-23 |