| NPI | 1821562224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLEME OJINA HARRISON CEO 919-848-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-12-03 |