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 |