| NPI | 1194908038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PHIFER Owner 336-788-8579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 034219) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2016-05-23 |