| NPI | 1992979447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA WIGGINS JOHNSON Executive Director 919-736-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-096-207) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |