| NPI | 1114069119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD TAYLOR CEO 704-532-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC 092-519) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC 060-467) |
| 251S00000X | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: NC 060-757) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: NC 060-538) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2019-07-03 |