| NPI | 1619044682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY MCARN Manager Owner 910-904-3261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 047-078) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |