| NPI | 1720273337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE F BENNERMAN Director 910-285-8305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |