| NPI | 1457044778 |
|---|---|
| Doing Business As | THOMPSON |
| Entity Type | Organization |
| Authorized Contact | CODY THOMAS It Director 704-222-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |