| NPI | 1114157989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA P BYNUM CEO 336-592-5625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 073055) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |