| NPI | 1912084161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN HESTER SPRUILL Executive Director 252-752-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL074170) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-01-24 |