| NPI | 1972652261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGLEA WILBURN Vice President 704-293-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL055087) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |