| NPI | 1003094764 |
|---|---|
| Doing Business As | MYERS PARK |
| Entity Type | Organization |
| Authorized Contact | MARILYN GARNER CEO And President 704-659-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-060-578) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-060-578) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2017-09-21 |