| NPI | 1306010533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARONDA Y WOODS Owner 910-338-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 010059) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |