| NPI | 1972797272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN YOUNG Owner/Qp 910-785-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-078-169) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |