| NPI | 1902031222 |
|---|---|
| Other Name | KESWICK PLACE |
| Entity Type | Organization |
| Authorized Contact | JESSIE M ADAMS Executive Director 336-549-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-05-17 |
| Last Update Date | 2009-05-18 |