| NPI | 1104361518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LYNCH Owner 704-473-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FCL-060-145) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |