| NPI | 1275752230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CAUDLE Administrative Financial Assistant 704-788-1215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2013-02-14 |