| NPI | 1730264938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP EDWARD REYNOLDS Owner 828-247-4856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-081-051) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |