| NPI | 1104090562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE TIMPSON Owner 336-623-7669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |