| NPI | 1154578458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMISE LAMAAR WILLIAMS CEO 704-674-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 320800000x) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |