| NPI | 1619222346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY JONES CFO 704-986-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL084039) |
| Additional Taxonomies | 251S00000X |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2021-08-10 |