| NPI | 1467692988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDIE LEE WILLIAMS Director 919-479-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-032-468) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |