| NPI | 1881869246 |
|---|---|
| Doing Business As | SHANICHA |
| Entity Type | Organization |
| Authorized Contact | SHANICHA LYNETTE MCNEIL Owner 910-322-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-047-110) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-08-29 |