| NPI | 1417155763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EARL HARGROVE Executive Director 252-767-8615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-001-150) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2007-07-09 |