| NPI | 1871342618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUANISHA MARIE KING CEO/Administrator 252-777-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2026-04-02 |