| NPI | 1902152002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M SMITH Administrator 252-566-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-054-175) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2014-10-21 |