| NPI | 1932232568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE LEE WILKES Clinical Manager Family Counselor 336-721-7638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |