| NPI | 1437379872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER TODD HANNON Director 910-670-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 047-087) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |