| NPI | 1982212874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLICIA HALL Owner 910-644-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-17 |