| NPI | 1598890089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONTESSA STRADER Owner 336-254-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |