| NPI | 1720123342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONTESSA STRADER Owner 336-254-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-02-05 |