| NPI | 1710145602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA STEVENS Owner 336-273-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |