| NPI | 1720261605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN HARWOOD ALLEN Executive Director 704-982-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL084066) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |