NPI | 1316073737 |
---|---|
Entity Type | Organization |
Authorized Contact | MUNIR MOHAMMED Director 704-506-3575 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-060-632) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |