| NPI | 1336274083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PARKS President 919-790-7869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 092-621) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |