| NPI | 1104346881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY ANTONIO EDWARDS CEO /Director 336-934-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |