| NPI | 1467620518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BATTLE Director, Owner 910-860-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-047-055) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |