| NPI | 1598997959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKITRA SHYVONNE WILLIAMS Owner 252-431-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 194) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-09-02 |