| NPI | 1578901468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA DUNCAN Executive Director/CEO 704-456-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |