| NPI | 1851674394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE POWELL Director 910-737-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL-078-119) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |