| NPI | 1669542817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA HINES MINOR Executive Director 336-749-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL034187) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |