| NPI | 1861943474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA WHITE Executive Director 704-745-7925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |