| NPI | 1629113170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WINSTEAD PETTIFORD CEO 919-550-2648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 051153) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-06-02 |