| NPI | 1881714343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUELLA TATE Owner 919-878-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-092-585) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-12-07 |