| NPI | 1407188832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA MOORE CEO 252-402-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-007-062) | |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |