NPI | 1548555873 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN P OLIVER CEO 704-921-3070 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC MHL-023-171) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2011-06-15 |
Last Update Date | 2018-06-14 |