| NPI | 1023618071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE HUITT Executive Director/Owner 704-777-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |