| NPI | 1790373371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERMAINE M BYRD Owner/CEO 704-315-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |