| NPI | 1073652749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN DELORES WILLIAMS Executive Director 252-636-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 322d00000x) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |