| NPI | 1902097603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN HARRIS CEO 704-566-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-060-1024) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-11-07 |