| NPI | 1730702937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN HARWOOD ALLEN CEO 704-982-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |