| NPI | 1902552151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA FOSTER President 336-987-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-28 |