| NPI | 1538737812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNON GRAHAM CEO 704-366-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-08-29 |