| NPI | 1508042490 |
|---|---|
| Other Name | SECOND WIND GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | FRANK H CRAWFORD Executive Director 704-334-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-060-061) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |