| NPI | 1669292348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTA ELEY CEO 704-866-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |