| NPI | 1225343783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL LYNDELL DOWDELL Director 980-339-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: NC 20811819) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 251S00000X | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2014-12-17 |