| NPI | 1528188802 |
|---|---|
| Other Name | PROMISE KEEPERS GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA S MURRAY Vice President 704-372-4915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 060-394) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |