| NPI | 1699788976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE ANDERSON BEST Administrator 252-315-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-098-037) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-098-087) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-098-037) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-098-087) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |