| NPI | 1033398425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RENEE JONES Program Director 336-222-8522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-001-120) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |