| 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 |