| NPI | 1861293631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERRA SINGLETERRY Director 252-258-7259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-04-09 |