| NPI | 1649408766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHNSON CEO 336-772-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-041-917) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |