| NPI | 1154252203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANTII SAMSON Owner 704-749-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-05-27 |