| NPI | 1215338231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE TIARRA JONES Owner And Director 252-347-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC .1300) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |