| NPI | 1609906288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MCCOLLUM CEO 252-747-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL040027) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-01-10 |