| NPI | 1326187659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGO CHUKWUMA Director/CEO 336-884-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-688) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251S00000X | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-06-12 |