| NPI | 1073847877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY NAPANT Administrator 704-777-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL0601112) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |