| NPI | 1336206887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT CONRAD EVANS President 910-630-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |