| NPI | 1689062473 |
|---|---|
| Doing Business As | HARLEE MAC GROUP HOME IV |
| Entity Type | Organization |
| Authorized Contact | TAMARIA MCCOLLUM Owner 252-526-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC mhl-026-955) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |