| NPI | 1366001976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WASHINGTON CEO 704-412-0675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2021-04-30 |