| NPI | 1649449091 |
|---|---|
| Doing Business As | FAITH HOME |
| Entity Type | Organization |
| Authorized Contact | LEON HARLIE STURDIVANT Owner / Director 336-854-1718 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL041732) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-04-07 |