| NPI | 1518008945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELTON LEON MELVIN Cheif Exective Officer 910-425-7391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-009-027) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-08-14 |