| NPI | 1689757809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DOYLE Qm Manager 910-222-6234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-07-28 |