| NPI | 1760173280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIS DRAUGHN Owner 704-724-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-07-03 |