| NPI | 1619013695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN DEVORE VP Corporate Compliance/Program Ops 704-944-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL-060-150) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-060-150) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2018-11-05 |