| NPI | 1447292669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK HODIERNE Executive Director 336-274-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC MHL 041-224) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2009-12-01 |