| NPI | 1063606861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD TAYLOR CEO 704-532-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC 060467) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |