| NPI | 1528223203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY FULTON Owner/CEO 704-264-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |