| NPI | 1982781993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE R. HASAN Director/Owner 910-482-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-026-700) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-03-03 |