| NPI | 1376688028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAVINA SEABROOKS Director 336-273-1987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-715) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |