| NPI | 1669780912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA C. DOWDLE Executive Director 704-876-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |