| NPI | 1437394145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN SCALES Owner/President 336-254-2374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-079-094) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |