| NPI | 1881812758 |
|---|---|
| Doing Business As | MAGNOLIA PLACE |
| Entity Type | Organization |
| Authorized Contact | KEVIN COCHRAN Financial Assistant 919-866-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |