NPI | 1528954740 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN D DIXIE CEO 704-307-5857 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2025-06-16 |
Last Update Date | 2025-06-16 |