| NPI | 1801070339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MONIQUE BATTLE Director 910-860-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC mhl042055) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |