| NPI | 1447396718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE TAYLOR Director 704-536-7931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |