| NPI | 1952464968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODWIN WILLIAMS Executive Director 336-373-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-684) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |