| NPI | 1659757110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONT DEWAYNE DUNLAP CEO 336-587-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |