| NPI | 1205011210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIREE GRAHAM CEO 704-737-8247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |