| NPI | 1114052123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FOLTZ CAHOON Billing Specialist 704-906-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 8300407) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 8300407) |
| 251B00000X Case Management (Licence: NC 8300407) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 6603599) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 6603600) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 6603994) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 6604265) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-02-03 |