| NPI | 1518091099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASHANAH KATO CEO Program Director 252-758-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-074-182) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-04-08 |