| NPI | 1255488953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK HANEY Business Coordinator 704-968-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-060-1108) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-08-12 |