| NPI | 1548663099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DARNELL SIMMONS Exec Director 704-595-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2023-03-03 |