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 |