| NPI | 1215087044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA FERGUSON Executive Director 910-843-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC HC3072) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC3072) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 078143) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2013-07-31 |