| NPI | 1881795169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBA M ROYSTER Director/President 919-880-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-092-603) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-12-16 |