| NPI | 1699837500 |
|---|---|
| Other Name | POOLE RD |
| Entity Type | Organization |
| Authorized Contact | TARA FIELDS Director Of Operations 919-815-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 092-271) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |