| NPI | 1952539314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLAND ANTHONY OLIVER Director 336-456-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL041912) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |