| NPI | 1568552982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT TERREL ROBINSON Owner 910-867-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL047074) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |