| NPI | 1154467330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE TAYLOR Executive Director 704-923-2746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC mhl-036 199) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |