| NPI | 1578734398 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | SANDRA YOLANDA HAYNES Owner 910-875-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL047088) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-08-26 |