| NPI | 1760544712 |
|---|---|
| Doing Business As | PELHAM GROUP HOME #1 |
| Entity Type | Organization |
| Authorized Contact | MILDRED WILSON Owner 910-630-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-026-823) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2013-07-10 |