| NPI | 1578783460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDEE MARIE BAILEY CEO 252-946-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL007039) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL007039) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |