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 |