| NPI | 1265747349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BULLOCK President/Executive Director 704-537-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL060586) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2017-10-26 |