| NPI | 1942333240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN DELORISE FLUDD CEO 910-382-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: NC MHL-067-164) | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2015-02-02 |