| NPI | 1609917806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LAMONT HOPKINS Qualified Professional Owner 336-348-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-079-085) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |