NPI | 1982740205 |
---|---|
Other Name | JACOBS TREE HOUSE |
Entity Type | Organization |
Authorized Contact | TRINA D TORAIN Qualified Professional 336-562-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-068-111) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |