| NPI | 1487971057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DIANE RASH Executive Director 704-622-3795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |