| NPI | 1538910864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAHIDA H TAYLOR Executive Director 704-648-5748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-06-07 |