NPI | 1073755583 |
---|---|
Doing Business As | PRTF HORNET'S NEST & LIONS DEN |
Entity Type | Organization |
Authorized Contact | BRENNON D GRAHAM 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 | 2025-08-28 |