| NPI | 1932254042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE BANTHER Executive Director 336-248-8914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL-029-006) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL-029-007) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL-029-114) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-07-27 |