| NPI | 1396888764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BROCKINGTON CEO 910-536-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL047091) |
| Additional Taxonomies | 251S00000X (Licence: NC MHL047091) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-03-10 |