| NPI | 1962690891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL CHECRECE JOHNSON Owner 910-818-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-078-195) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |