| NPI | 1558927590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE TALL CEO 704-975-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2025-06-18 |