| NPI | 1609087303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E HARDISON Owner 252-946-6245 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL007055) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-11-15 |