| NPI | 1457793119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SON BENNETT CEO 704-982-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-084-084) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |