| NPI | 1134211030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BASS President & CEO 704-362-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-01-30 |