| NPI | 1841513652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE NORMAN Chief Operating Officer 336-684-5079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-001-175) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |