| NPI | 1255689485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANA LORD President 704-222-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |