| NPI | 1639336878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CAHOON Billing Specialist 704-906-8893 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |