| NPI | 1780132050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LITTLE Owner 704-458-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 251B00000X Case Management | |
| 251S00000X | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2023-02-15 |