| NPI | 1750935839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIJUANA HAIRSTON CEO 704-635-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2019-07-28 |