NPI | 1366507899 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS G DAVIS Finance Director 704-861-9280 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2006-12-26 |
Last Update Date | 2021-09-13 |