| NPI | 1932226321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KOPPELMEYER President 704-872-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL049086) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-04-17 |