| NPI | 1790967792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAE E. MARTIN Owner/Director 336-453-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-841) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |