| NPI | 1881873420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KMBERLY LANETTE PERRY Director 252-237-7554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 098117) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |