| NPI | 1689716102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON ANDERSON CEO 704-913-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-023-092) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-09-11 |