| NPI | 1912054594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA NICOLE HOLMES Chief Operating Officer 919-321-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC mhl032330) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |