| NPI | 1649124371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR VAZQUEZ CEO 704-421-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2026-02-20 |
| Last Update Date | 2026-08-12 |