| NPI | 1578638268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HAYNES HENNING Chief Operating Officer 704-923-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-02-24 |