| NPI | 1013103951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYESON KIM REED CEO 910-980-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-082-070) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |