| NPI | 1639379845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LAJUNE RISIEN Owner/Director 252-977-2724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |