NPI | 1093880882 |
---|---|
Doing Business As | MARIE G. SMITH GROUP HOME |
Entity Type | Organization |
Authorized Contact | DAWN HARWOOD ALLEN CEO 704-982-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL084008) |
Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NC MHL084008) |
323P00000X Psychiatric Residential Treatment Facility (Licence: NC MHL084061) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2015-07-15 |