| NPI | 1225159676 |
|---|---|
| Other Name | PEACEFUL DOMINION GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA S MURRAY Vice President 704-372-4915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 065181) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |