| NPI | 1881771665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE STANALAND Executive Director 704-283-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-090-128) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-090-129) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-07-29 |