NPI | 1619238839 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON BARNETT CEO 252-714-1230 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-074-231) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2017-10-13 |