| NPI | 1841472917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE R. HASAN Director 910-482-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-082-072) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |