| NPI | 1073755583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BASS CEO 704-366-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC MHL-060-059) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |