| NPI | 1023305208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JEFFERY MASSEY CEO 704-225-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 310400000X Assisted Living Facility | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253J00000X Foster Care Agency | |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2013-03-22 |