NPI | 1891862413 |
---|---|
Other Name | LIMITED LIABILITY CORPORATION |
Entity Type | Organization |
Authorized Contact | RONALD MACK JOHNSON Director 919-452-9276 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-032-336) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2009-11-03 |