| NPI | 1164641213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LEWIS HARVEY Director 336-264-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL041817) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-01-14 |