| NPI | 1770747933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA FAY BUNNS-BATTLE Chief Executive Officer 252-367-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |