| NPI | 1841429933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE DELAINE NORMAN Owner 336-684-5079 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |