| NPI | 1700902897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KATEAR ANDERSON Executive Director 704-853-2665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC MHL-036-251) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-036-251) | |
| 251S00000X Community/Behavioral Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 347C00000X Private Vehicle | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2025-09-11 |