| NPI | 1326474008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BROWN Owner 704-567-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-036-295) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2014-02-21 |