| NPI | 1568526499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONDA KAYE BURTON Executive Director 704-884-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-036-004) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2008-06-18 |