| NPI | 1063630572 |
|---|---|
| Doing Business As | KING'S CHILDREN & ADOLOESCENTS SERVICE |
| Entity Type | Organization |
| Authorized Contact | CAROLYN K KING Owner 910-738-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL078180) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL078180) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-22 |