| NPI | 1518309731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CURTIS Director 980-298-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL078207) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL078207) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |