| NPI | 1548552391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN RICHARDSON Executive Director 251-402-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |