| NPI | 1831377811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSES LEROY COLBERT Executive Director 704-777-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |