| NPI | 1700050952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO CARR Owner 910-381-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 065193) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2009-07-22 |