| NPI | 1487770236 |
|---|---|
| Other Name | VOLUNTARY CLOSURE 7/31/07 |
| Entity Type | Organization |
| Authorized Contact | JOHN KOPPELMEYER President 704-872-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-08-22 |