| NPI | 1083892848 |
|---|---|
| Doing Business As | ERVIN |
| Entity Type | Organization |
| Authorized Contact | MARILYN GARNER CEO And President 704-659-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MHL-041-576) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-041-576) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2017-09-21 |