NPI | 1073766820 |
---|---|
Entity Type | Organization |
Authorized Contact | WILHELMENIA DEBRO Owner 252-459-8777 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-064-094) |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2008-10-24 |
Last Update Date | 2008-12-08 |