| NPI | 1861533853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYDNEY L BAKER Owner 336-558-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-802) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2020-08-22 |