| NPI | 1699233866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTESHA EVANS Owner 704-477-2631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |