| NPI | 1578642708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TAYLOR CFO Co Owner 252-794-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-008-025) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |