| NPI | 1932055001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD GILES Owner 336-608-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-03-15 |