| NPI | 1629123856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R SINGLETON Executive Director 704-466-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-060-1006) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |