| NPI | 1124260427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEDRIAN COLEMAN Director Revenue Cycle 919-709-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: SC RTF0023) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SC RTF0023) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2021-08-25 |