| NPI | 1104056969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD G PAYTON Executive Director 704-525-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |