| NPI | 1457075814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELDA SIMMONS CEO 704-258-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |