| NPI | 1326899154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERA BENDA Owner 704-665-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-08-15 |