| NPI | 1083048763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY DWAN TOUSSAINT CEO 704-720-7897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-09-05 |