| NPI | 1689401234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAELENE R DOBSON CEO 252-402-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |