| NPI | 1528255767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE M CHAMBERS Executive Director 336-292-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 041837) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4173) |
| 101YP2500X Counselor, Professional (Licence: VA 0701003386) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2011-10-03 |