| NPI | 1952441883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE ALLEN Executive Director 704-674-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MHL036245) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: NC MHL036245) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |