| NPI | 1417149311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON TYRONNE GRIER Executive Director 704-864-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC mhs-036-219) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-01-24 |