| NPI | 1891085247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH HYMAN Owner 252-641-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-033-114) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-033-114) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2012-08-29 |