| NPI | 1740314236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY S SIMPSON Executive Director 252-331-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-070-019) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-08-05 |