| NPI | 1982783049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HAIRSTON Executive Director 336-723-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-034-170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-034-185) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-06-06 |