| NPI | 1104044353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KENNEDY EDMOND Executive Director 704-793-9593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-013-096) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-06-13 |