| NPI | 1124164132 |
|---|---|
| Other Name | BODIE'S GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | HATTIE MALONE Executive Director 704-724-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-060-882) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |