| NPI | 1386794550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MITCHELL CEO 252-355-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-074-149) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-074-166) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-04-25 |