| NPI | 1164629721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H OLIVER Executive Director 919-739-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL096130) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |