| NPI | 1780174995 |
|---|---|
| Other Name | LIBERTY DRIVE DAY TREATMENT |
| Entity Type | Organization |
| Authorized Contact | CATHERINE HARRISON Contracts Mgr. 704-366-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |