| 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 |