| NPI | 1639822836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LOREAL DUMAS Chief Executive Officer 910-975-4609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-02-04 |