| NPI | 1962713230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOYA B STEPHENS CEO 336-229-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |