| NPI | 1609051275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY JOHARI INNISS Chief Executive Officer 910-897-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2022-07-21 |