| NPI | 1811433089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HEADLEY President 336-655-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |