| NPI | 1821261389 |
|---|---|
| Other Name | INNER WEALTH RESIDENTIAL |
| Entity Type | Organization |
| Authorized Contact | SHANNON MARTIN Owner 919-201-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-04-05 |
| Last Update Date | 2008-04-05 |