| NPI | 1639205701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARDRIENNE GILL Executive Director 919-828-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL092590) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |