| NPI | 1508106394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EUGENE CARTER VP/Director Of Operations 336-375-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL0411052) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |