| NPI | 1497958524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LYNETTE BROWN Chief Executive Officer 336-437-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-001-149) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-05-11 |