| NPI | 1013760537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA CARTER HALL President /CEO 252-432-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |