| NPI | 1003294448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BENNETT Executive Director 704-982-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |