| NPI | 1407773401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WASHINGTON Program Director 704-516-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |