| NPI | 1912050337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM DOUGLAS Nc Director 828-439-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-059-027) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2009-03-06 |