| NPI | 1730316563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MANESS Controller 704-986-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-076-049) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2025-10-07 |