| NPI | 1134366388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMETKA BLOUNT PITTMAN CEO 919-454-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 032458) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |