| NPI | 1386769818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA TRUESDELL Owner 704-854-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL036180) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-12-12 |