| NPI | 1285188151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN B FOIL Executive Director 704-992-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |