| NPI | 1841488400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK DEVON DAVIS Staff COO Rdinator 919-247-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 039043) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |