NPI | 1346350477 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA SHAMBLY JOHNSON Director 910-308-2491 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-043-052) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |