| NPI | 1669678355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELILAH JACKSON GARRISON Owner Operator 919-847-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL092517) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2008-06-23 |