| NPI | 1336307099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK D. SURGEON CEO 910-733-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-06-05 |