| NPI | 1497521215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DORLIAE Executive Director 980-345-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |