NPI | 1902963499 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM HARDISON Administrator 252-402-7823 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC MHL-007-043) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |