| NPI | 1598899205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD LESSANE VP Finance 704-701-2123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-060-822) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-09-12 |