| NPI | 1689829293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE COFER WHITEHEAD Executive Director 919-538-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-092-728) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2024-12-30 |