NPI | 1639344252 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSIE DENISE HAYES Owner 910-602-2769 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2008-04-24 |
Last Update Date | 2008-04-24 |