| NPI | 1548023930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA SHINGLER HOWELL President 704-671-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2025-09-30 |