| NPI | 1235367178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY JONES CFO 704-986-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 251S00000X Community/Behavioral Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-064-092) | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-12-20 |