| NPI | 1275989816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA BENNETT Director 704-982-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |