NPI | 1225275514 |
---|---|
Entity Type | Organization |
Authorized Contact | CODY MATTHEW THOMAS It Director 704-644-4351 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NC MHL-060-829) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2019-01-03 |