| NPI | 1407040231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BRIDGETTE YARD CEO Program Director 704-242-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1533345) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 8023819) |
| 251S00000X Community/Behavioral Health (Licence: NC 2550464) | |
| 251S00000X Community/Behavioral Health (Licence: NC 5450148) | |
| 251V00000X Voluntary or Charitable | |
| 305S00000X Point of Service (Licence: NC 8023819) | |
| 305S00000X Point of Service (Licence: NC 2550464) | |
| 305S00000X Point of Service (Licence: NC 5450148) | |
| 305S00000X Point of Service (Licence: NC 1533345) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC 8023819) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC 2550464) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC 5450148) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC 1533345) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 1533345) | |
| 347C00000X Private Vehicle (Licence: NC 347C00000X) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2014-05-08 |