NPI | 1770617474 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD LESSANE VP Finance 704-701-2123 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-060-822) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |