| NPI | 1336385699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY JONES SHAW Director 704-737-5897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |