| NPI | 1245418052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA FERGUSTON Executive Director 910-843-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHl078197) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |