| NPI | 1912267477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESHAWN PECKHAM Founder & CEO 704-773-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |