| NPI | 1588704514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE TIMPSON Director 336-623-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-079-076) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |