| NPI | 1922676360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMISHA HARGROVE Owner 919-593-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-06-13 |
| Last Update Date | 2021-06-13 |