| NPI | 1992829584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETHA MILLER Manager 919-581-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-09-26 |