| 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, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-03-09 |