| NPI | 1548489305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BENNETT Executive Director 704-791-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL084056) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-03-11 |