| NPI | 1063547701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M BATTLE Director 910-860-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 047055) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: NC 10312009) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 026597) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL047055) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-12-15 |