| NPI | 1295939411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONDA KAYE BURTON Executive Director 704-884-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-036-004) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |