| NPI | 1710275409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVIE LYNN WIDEMAN CEO 828-433-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 253J00000X Foster Care Agency | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-012-095) | |
| 253J00000X Foster Care Agency | |
| 101YP2500X Counselor, Professional | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2022-07-21 |