| NPI | 1942048046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE STACKHOUSE Owner 910-261-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-25 |