| NPI | 1093642761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEBERINA ADAMS Executive Drive 704-426-9812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-05-06 |
| Last Update Date | 2026-05-06 |