| NPI | 1467642991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WARD Director 252-695-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2008-07-10 |