NPI | 1518032267 |
---|---|
Entity Type | Organization |
Authorized Contact | MUHAMMAD SHABAZZ Executive Director 704-788-2080 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2017-03-09 |