| NPI | 1417521048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESARETA JONES Clinical Director 704-874-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2025-02-03 |