| NPI | 1437885522 |
|---|---|
| Other Name | SANFORD HOME |
| Entity Type | Organization |
| Authorized Contact | RICKY TAYLOR President 704-645-8888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-08-23 |