| NPI | 1750165452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDFORD A BROTHERS CEO 910-527-2913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-25 |