| NPI | 1730244021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR M MOLINA CEO 252-641-1749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-074-172) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2009-07-23 |