| NPI | 1235311994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA RICE Director 336-634-0593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2008-06-23 |