| NPI | 1265478366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KOPPELMEYER President 704-872-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-049-075) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-099-004) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-049-086) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-049-087) | |
| 251S00000X (Licence: NC MHL-086-041) | |
| 251S00000X (Licence: NC MHL-049-090) | |
| 251S00000X (Licence: NC MHL-049-104) | |
| 251S00000X (Licence: NC MHL-099-017) | |
| 251S00000X (Licence: NC MHL-049-085) | |
| 101YM0800X Counselor, Mental Health | |
| 103TF0000X Psychologist, Family | |
| 251S00000X | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-08-18 |