| NPI | 1679424865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN SHINNERY CEO 704-470-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-02-04 |
| Last Update Date | 2026-02-04 |