| NPI | 1588801294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA E. UKATTAH CEO 336-294-4966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-876) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |