| NPI | 1780554576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LYNETTE HARDEN Owner/Operator 336-402-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-12-08 |