NPI | 1811163017 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE DAVIS Owner/ Operator 252-977-1210 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-033-056) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2008-05-07 |