| NPI | 1427267780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DONNELL THOMPSON Executive Director 919-619-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-078-190) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |