| NPI | 1730441775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE COFER WHITEHEAD Executive Director 919-538-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-092-844) |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-03-10 |