| NPI | 1487511549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER MORGAN Owner 704-491-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |