| NPI | 1639799661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE L CARTHEN Clinical Director 910-733-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2024-02-15 |