| NPI | 1285950923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELVYN LLOYD JORDAN Chief Executive Officer 336-682-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |