| NPI | 1881968378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA CAMPBELL Administrator 919-961-1757 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC FCL-032-117) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-03-21 |