| NPI | 1316831282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY COLIN PRIDE Director 704-651-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |