| NPI | 1225189111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN GRAVES Executive Director 919-321-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-032-385) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |