| NPI | 1093454571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETT MOORE Owner 704-648-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-05-29 |