| NPI | 1932309556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA KERWIN JONES Administrator 252-293-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-007-063) |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2007-07-22 |