| NPI | 1326183864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CHUKWUMA Director 336-389-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-688) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |