| NPI | 1366685968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED SURGEON CEO 910-733-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |