| NPI | 1831227297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MONROE NICHOLSON Executive Director 336-852-9823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-07-07 |