| NPI | 1659412997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY WORTHINGTON Quality Servies Director 919-833-2544 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL092571) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-20 |