| NPI | 1942956560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN ORLANDO ARMSTRONG Director 704-363-6208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |