| NPI | 1922160670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHMOND C OKORO Director 336-638-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-762) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |