| NPI | 1447331475 |
|---|---|
| Other Name | SILVERLEAF LODGE |
| Entity Type | Organization |
| Authorized Contact | SUSAN WINNINGHAM Qi Director 910-346-3744 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL067133) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-04-22 |