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 |