| NPI | 1215181953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIA LEE PARKS CEO 336-235-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-644) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |