| NPI | 1104219567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN OLIVER CEO 704-491-0829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL-055-121) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2018-07-20 |