| NPI | 1699845065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT LEE MOZELL President 336-931-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-511) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-07-17 |