NPI | 1285861500 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON PRINCE VP Of Clinical Services 704-829-4411 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-036-111) | |
Enumeration Date | 2009-06-12 |
Last Update Date | 2017-08-30 |