| NPI | 1841927530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WASHINGTON Owner 704-516-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |