| NPI | 1811240344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BARNETT CEO 252-561-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL098180) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-098-180) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2017-10-13 |