| NPI | 1538244074 |
|---|---|
| Other Name | SHADOWRIDGE RETREAT |
| Entity Type | Organization |
| Authorized Contact | LORNA KATHLEEN ASCHBRENNER Director Of Operations 910-346-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL067101) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |