| NPI | 1003600917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISHA EVANS Owner 919-264-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-05-29 |