| NPI | 1962689463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE R. HASAN Director/Owner 910-624-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 063-061) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |