| NPI | 1316090509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA B DAVIS Assistant Director 252-638-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL052-011) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-06-16 |