| NPI | 1770924482 |
|---|---|
| Doing Business As | PELHAM GROUP HOME #3 |
| Entity Type | Organization |
| Authorized Contact | MILDRED WILSON Director 910-488-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-026-854) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-11 |