| NPI | 1467143883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADAE T WILLIAMS Owner/ CEO 336-749-5267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |