| NPI | 1063235919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALIMAR ROSE Owner CEO 704-685-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2025-09-11 |