| NPI | 1851617690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE MCEACHIRN CEO 336-312-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC mhl-041-770) |
| Additional Taxonomies | 251S00000X (Licence: NC mhl-041-770) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC mhl-041-770) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |