| NPI | 1487312716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA TERESA HARLING LAWSON Owner 704-564-1539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |