| NPI | 1033262969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE NASH EVERETT CEO 704-408-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL060716) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |