| NPI | 1134408719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA ALANE THOMAS Social Worker 704-277-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |