| NPI | 1831100510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELL RAHMAAN Administrator 910-273-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 026-777) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-07-24 |