| NPI | 1518005487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY E. COVINGTON Executive Director 704-225-9347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-090-104) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL-090-104) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |