| NPI | 1295028629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTIE VANHOOK Executive Director 910-257-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |