| NPI | 1871802645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKA POWELL Owner 252-567-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |