| NPI | 1801224134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA DENISE TAYLOR Owner 252-717-3907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |