| NPI | 1821291493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANISTY H MITCHELL Director 336-382-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-852) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-17 |