| NPI | 1497812234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY D DICKSON Owner 919-329-9316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-051-143) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |