| NPI | 1770396970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DALTON Owner 704-208-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-02-27 |