| NPI | 1497258107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENITA CROUCH CEO 704-298-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2024-05-09 |