| NPI | 1881891695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKO MOORE President 336-887-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 041-699) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 041 699) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2017-03-08 |