| NPI | 1285035188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD BLAKENEY Co Owner 704-287-1573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |