| NPI | 1770810301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYATTA WADDELL CEO 704-865-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-20 |