| NPI | 1528238631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HAIRSTON Director 336-988-0679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 241829) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |