| NPI | 1093968836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN SUTTON Owner 252-412-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NE MHL-074-193) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |