NPI | 1760605711 |
---|---|
Doing Business As | BROOKHAVEN GROUP HOME |
Entity Type | Organization |
Authorized Contact | KEVIN COCHRAN Financial Assistant 919-718-0269 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-053-034) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |