| NPI | 1942445903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTA L PAGE Program Administrator 919-519-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-032-462) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |