| NPI | 1780792705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL WILSON Vice President 910-938-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-067-085) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC MHL-067-052) |
| 251S00000X Community/Behavioral Health (Licence: NC MHL-067-049) | |
| 251S00000X Community/Behavioral Health (Licence: NC MHL-067-059) | |
| 251S00000X Community/Behavioral Health (Licence: NC MHL-067-091) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-067-052) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-067049) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-067-059) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-067-091) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-11-18 |