| NPI | 1699937797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ANTOINE RAYE Program Director 336-480-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |