| NPI | 1093838104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE R HASAN Director Owner 910-482-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 61553) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |