| NPI | 1912022070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ALBERTA SHARPE-BLAKELY CEO 252-355-3284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-074-12) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-074-12) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |