| NPI | 1831341429 |
|---|---|
| Doing Business As | TEAM SUCCESS YOUTH HOME |
| Entity Type | Organization |
| Authorized Contact | DWAYNE ANTHONY HERBERT Executive Director 704-668-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-018-086) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |