| NPI | 1245425172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN T FUNCHESS Owner/President 336-574-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-840) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |