NPI | 1588164131 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD E. MACON Owner 704-224-2364 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2018-02-20 |
Last Update Date | 2018-02-20 |