| NPI | 1114952603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY L POWELL Co Director 252-264-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-070-027) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |