| NPI | 1265674113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY NICOLE HUDSON-ODOI Owner 910-938-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X |
| 385H00000X Respite Care | |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |