| NPI | 1508920463 |
|---|---|
| Doing Business As | GARY COWAN GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | DAWN HARWOOD ALLEN CEO 704-982-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-09-28 |