| NPI | 1659689008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA HARRIS GRIMES Director Of Operations 252-702-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-074-224) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |