| NPI | 1538876537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL BROWN Accounts Receivable Specialist 704-754-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |