| NPI | 1477692242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLRAE SCOTT Executivedirectorclinicalservices 704-487-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 2260) |
| 101YM0800X Counselor Mental Health (Licence: NC 5595) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-023-046) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-023-128) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-055-090) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-055-091) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-01-09 |