| NPI | 1760490577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BERNARD WHITMIRE Executive Director 336-574-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-097-054) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-077-039) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-041-601) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |