| NPI | 1568261568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE BROADEN Owner 919-703-5874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |