| NPI | 1891972741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH WARD Ex. Director 336-437-2645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 001-155) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2023-01-24 |