| NPI | 1447399134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA J ROSS Executive Director 704-933-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL078183) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |