| NPI | 1609022557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX WRIGHT Owner/President 704-594-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 6604323) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 6604323) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2024-05-14 |