| NPI | 1255453163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRON BRADSHAW Director 919-702-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL091068) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-12-10 |