| NPI | 1982740312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA WILSON PEELE Executive Director 252-209-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL008035) |
| Additional Taxonomies | 251S00000X |
| 251B00000X Case Management | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-11-09 |