| NPI | 1770622524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA R RATLIFF Director 336-601-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MKL041647) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-05-09 |