| NPI | 1598943953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA REVIS PEGUES Director 252-363-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-098-122) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-06-19 |