| NPI | 1992919948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYATTA WADDELL President 704-363-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-023-139) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-10-21 |