| NPI | 1598824856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M DAVIDSON President 828-299-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-05-21 |