NPI | 1669989554 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL GUCCIO Director Of Operations 704-844-6958 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2018-01-02 |
Last Update Date | 2024-04-25 |