| NPI | 1942961990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CARROLL Senior Accountant 709-221-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-03 |