| NPI | 1730372525 |
|---|---|
| Doing Business As | OAK RANCH |
| Entity Type | Organization |
| Authorized Contact | WENDY NICOLE CAMPBELL Coordinator Of Program Development 336-474-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC B01154) |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC B01512) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |