| NPI | 1184589525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY COPELAND Director Of Wfdh 704-963-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |