| NPI | 1386514198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL A JONES Director 704-751-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |