| NPI | 1548307937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LAMONT HOPKINS Owner Director 336-342-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-079-062) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |