| NPI | 1912054370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA VEALE DAMERON CEO 252-794-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL008024) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |