| NPI | 1487774501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD HINSON Director 336-327-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-807) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-06-19 |