| NPI | 1295887586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LAVETTE PHILLIPS Executive Director 336-749-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-034-207) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-11-17 |