NPI | 1750569463 |
---|---|
Doing Business As | WADDELL |
Entity Type | Organization |
Authorized Contact | MARILYN GARNER CEO And President 704-659-7630 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC MHL-034-1155) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-034-115) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2017-09-21 |