| NPI | 1821885237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORESSA POOLE Co Owner 336-705-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |