| NPI | 1396827127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVONDELL RISOTTO STALLINGS Executive Director 336-378-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-704) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |