NPI | 1982935284 |
---|---|
Entity Type | Organization |
Authorized Contact | DUKE E ELLIS CEO 910-286-1991 |
Organization Subpart ? | Yes |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC mhl-063-085) |
Enumeration Date | 2010-01-26 |
Last Update Date | 2010-01-26 |