| NPI | 1619110665 |
|---|---|
| Other Name | KINGSTREE HOME |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R STEWART Director/Owner 336-287-8764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |