| NPI | 1346069333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LATRISE SAUNDERS Owner 704-665-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-25 |