| NPI | 1255515508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BLAKENEY President CEO 704-238-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL090101) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |