| NPI | 1891688560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHKALA RANKIN MCSWEAIN Owner 704-466-6998 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 174200000X Meals |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2400X Clinic/Center, Prison Health | |
| 310400000X Assisted Living Facility | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-08-30 |