| NPI | 1700062205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDLA GRAHAM PHILLIP Owner, President, CEO 910-964-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-078-201) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |