NPI | 1457998627 |
---|---|
Entity Type | Organization |
Authorized Contact | RASHAAD WOODS Managing Member 704-965-8842 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2019-12-05 |
Last Update Date | 2022-03-16 |