| NPI | 1407903073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DAVIS LLOYD Owner 910-826-7649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-026-159) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |