| NPI | 1679745202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER TYLER Director Of Day Treatment Programs 336-227-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC mhl000135) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |