| NPI | 1871016816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MANESS Controller 704-986-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2026-05-27 |