| NPI | 1396983649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY CORPENING Member 828-320-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-01-24 |
| Last Update Date | 2009-01-24 |