| NPI | 1841336112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN DEVORE VP Corporate Compliance/Program Ops 704-944-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NC MHL-060-147) |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-060-147) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2018-11-05 |