| NPI | 1821173147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERWIN KELLY Exective Director 910-483-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL026825) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |