| NPI | 1972730950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHA SPAULDING Director 919-876-9352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 034243) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2022-01-05 |