| NPI | 1760663058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY TANIS WATKINS CEO 704-506-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2011-06-23 |