| NPI | 1467606780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA GIDNEY Owner 704-477-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-080048) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |