| NPI | 1669655353 |
|---|---|
| Doing Business As | THE HEALING LODGE |
| Entity Type | Organization |
| Authorized Contact | TONY VINCENT LOCKLEAR Executive Director 910-522-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |