NPI | 1306284112 |
---|---|
Entity Type | Organization |
Authorized Contact | DESARETA JONES Owner 704-874-1813 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-023-185) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2013-06-13 |
Last Update Date | 2025-02-17 |