| NPI | 1831238419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBOREA WINFREY Interim Executive Director 336-774-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-034-137) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-034-140) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-04-22 |