NPI | 1780668590 |
---|---|
Doing Business As | KENAN COTTAGE |
Entity Type | Organization |
Authorized Contact | CODY THOMAS It Director 704-536-0375 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2005-12-05 |
Last Update Date | 2022-04-02 |