| NPI | 1902999568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SIMS-SMITH Clinical Director 252-752-6951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-115) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |