| NPI | 1841434917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONTA PERSON Owner 252-531-9739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |