| NPI | 1043402464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN DIANE HUGHES Office Manager 704-853-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |