| NPI | 1356074553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENU PAL Member Manager 704-566-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-05 |