| NPI | 1336587146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESARETA JONES Owner 704-874-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 036-309) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2017-02-03 |