| NPI | 1639926777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA THOMPSON Sustainability Specialist 252-520-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2025-04-29 |