| NPI | 1811869464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL GUINYARD Owner 704-774-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2026-06-26 |