| NPI | 1568693778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE LIGHTNER HENRY Executive Director 336-707-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-920) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |