| NPI | 1194871483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON W PETTIFORD CEO Owner 919-550-2648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 032275) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2008-06-16 |