| NPI | 1790498152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BRASWELL Director 252-484-8260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-01-06 |