| NPI | 1871758136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN NEAL Owner 704-858-2683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |