| NPI | 1003766817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE HUNT Program Director 980-205-5658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2026-01-31 |
| Last Update Date | 2026-04-06 |