| NPI | 1497407092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARRICK TREMAYNE STEWART CEO 704-901-4916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |