| NPI | 1659515559 |
|---|---|
| Doing Business As | BOOTH ROAD GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | DEREK MITCHELL Operations Manager 336-273-2640 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC MHL-068-138) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2016-07-26 |