| NPI | 1851673875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANTHA TAJUANA HARDISON CEO/Owner 336-340-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |