| NPI | 1710854294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER DUNN Executive Director 704-808-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-23 |