| NPI | 1760527444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY GUNN Executive Director 704-482-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |