| NPI | 1245104090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME HALL Owner 704-771-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |