| NPI | 1962564658 |
|---|---|
| Doing Business As | THORNBERRY PLACE |
| Entity Type | Organization |
| Authorized Contact | JIMMY GUESS Executive Director 336-508-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-041-142) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-06-23 |