NPI | 1457574436 |
---|---|
Entity Type | Organization |
Authorized Contact | SAUNDRA R FANTI Administrator 910-846-5635 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-010-054) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |