NPI | 1881754927 |
---|---|
Other Name | JOSIE'S PLACE |
Entity Type | Organization |
Authorized Contact | SAUNDRA R FANTI Administrator 910-846-5635 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-065-182) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-08-22 |