| NPI | 1679911663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY HASSELL Owner 919-264-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |