| NPI | 1376732404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE MCMANUS President 336-889-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-853) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-01-13 |