| NPI | 1558414466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHMOND C. OKORO Director 336-638-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-046-762) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |