| 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 |