| NPI | 1669514725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RENEE JONES Program Manager 336-222-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 001-120) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 001-100) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 001-121) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL -001 - 135) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |