| NPI | 1720598832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY CHAPPELL CEO 336-599-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |