| NPI | 1184806986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN TERRELL FUNCHESS CEO/Owner 336-501-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-840) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-07-30 |