| NPI | 1831328491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LEE LACKEY President/Executive Director 919-414-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2017-07-27 |