| NPI | 1831507607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA BURTON Compliance/Ed 704-451-3124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |