| NPI | 1801948534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CAROLINE MCGEE Owner 336-578-6115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-001-143) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-09-23 |