| NPI | 1790581999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LOUISE COLLINS Executive Director 704-798-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |