| NPI | 1699821595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINIFRED CHOCKLETT Owner 252-443-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL033045) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-05-23 |