| NPI | 1912029133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE B WEBB Director 336-623-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL 079-065) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |