| NPI | 1992857890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE SMITH Administrator 919-581-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL096159) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-06-19 |