NPI | 1134474786 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ELIZABETH PORRAS KANTROWITZ Accounts Receivable 704-536-0375 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2012-07-19 |
Last Update Date | 2017-11-09 |