| NPI | 1033428487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KOPPELMEYER President/CEO 704-872-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC not yet assigned) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |