NPI | 1164973483 |
---|---|
Entity Type | Organization |
Authorized Contact | KATELYNN BAKER Executive Director 704-537-4730 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2016-10-21 |
Last Update Date | 2016-10-21 |