| NPI | 1912195975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA FAGAN HARTSELL Excutive Director 336-442-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-836) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |