| NPI | 1235453366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI GLADNEY Owner 919-294-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-032-497) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |