| NPI | 1881810760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MONROE NICHOLSON Executive Director 336-656-9208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC 322D00000X) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-07-03 |