| NPI | 1851573661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA REBECCA MCCALL Executive Director 919-922-1591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL096196) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |