| NPI | 1871658120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK MITCHELL Business Manager 336-273-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: NC MHL-041-768) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-553) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-125) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-152) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-229) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-068) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-164) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-034-108) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |