| NPI | 1467790568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMETKA B PITTMAN Executive Director 919-454-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-032-405) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |