| NPI | 1770475899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GOMEZ Executive Director 704-904-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |