| NPI | 1578732038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM HARDISON Administrator 252-946-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-007-064) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |