| NPI | 1013132620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KENNEDY EDMOND Executive Director 704-793-9593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-013-107) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-07-30 |