| 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 |