| NPI | 1588405047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHOENIX D EVANS CEO 252-316-5834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-11 |