| NPI | 1811102635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BLAKENEY President 704-238-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 090-116) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |