| NPI | 1083767669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA DENISE WHITE Exe. Director 704-798-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL080-160) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-01-25 |