| NPI | 1518001544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EARL GRANT President Owner 919-751-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-096-133) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |