| NPI | 1407903941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN HARRIS CEO 704-780-4608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-060-806) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-07-17 |