| NPI | 1164668414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN J STEPHENS CEO 910-738-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL078149) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |