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