| NPI | 1528930831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATAVIA MARTIN Executive Director 704-890-4095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |