| NPI | 1992918627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL D. MARTIN Executive Director 919-247-8187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-092-554) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |