| NPI | 1669525374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK TAYLOR Owner 704-309-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-080-122) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-08-23 |