| NPI | 1144457946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY JONES CFO 704-986-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-084-041) |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2013-06-11 |