| NPI | 1205094703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA L WASHINGTON Co Director 336-312-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 041-866) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2015-03-06 |