| NPI | 1174776728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA PRIDGEN HOUSTON Director 919-920-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-040-038) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |