| NPI | 1699939975 |
|---|---|
| Doing Business As | MAG HOUSE |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS BAKER Partner 336-558-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 070293) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |