| NPI | 1609916816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY WASHINGTON Director 910-257-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 6603332) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 251S00000X (Licence: NC 6603332) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2013-02-21 |