| NPI | 1891071775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM WADFORD Director Of Operations 919-861-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 3408221) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 251C00000X (Licence: NC 3408221) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2015-08-27 |