| NPI | 1043409113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P MAGUIRE CFO 919-215-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-092-687) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2009-02-11 |