| NPI | 1407886229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY PRIDGEN CFO 919-734-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC NHL-054-013) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-09-28 |