| NPI | 1316083769 |
|---|---|
| Other Name | BODIE' GROUP HOME I |
| Entity Type | Organization |
| Authorized Contact | HATTIE MALONE Executive Director 704-724-3783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-060-756) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |