| NPI | 1568634053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY CAROL HAGGAN Director 336-222-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |