| NPI | 1922144591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEWIS Executive Director 336-274-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL041-631) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-03-11 |