| NPI | 1831411156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK HAYES Director 336-681-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |