| NPI | 1629293592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDEE MARIE BAILEY CEO 252-946-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL073135) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |