| NPI | 1912154451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNITA DELSHAWN SLATON Executive Director 910-433-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL026-840) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |