| NPI | 1528812930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA R. BRYANT Owner 704-352-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |