| NPI | 1750822276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LOREAL DUMAS Therapist 910-573-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |