| NPI | 1194844654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KOPPELMEYER President 704-872-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL049087) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-08-22 |