| NPI | 1154513141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREANA CHAVIS Owner 919-819-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL032313) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |