| NPI | 1033358825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAWNTA RENAE LUCAS Excecutive Director 919-337-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-092-737) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |