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