| 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 |