| NPI | 1063670651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE D SMITH Office Manager 910-826-7649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL026849) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-08-05 |