| NPI | 1578705562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD K GRANTHAM Director Of Operations 919-255-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-092-515) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |