| NPI | 1396970521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY WHITE Director 336-685-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |