| NPI | 1295469088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEDAYO WEBB President 704-492-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |