| NPI | 1467599878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN LAVAR CURRY President 704-852-4428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC WACO MHL023111) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC BELVEDERE MHL023061) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2009-05-07 |