| NPI | 1194051110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY J JENKINS Director 919-220-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-032-503) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2010-01-18 |