NPI | 1952531717 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD G PAYTON Executive Director 704-525-3255 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2009-07-15 |
Last Update Date | 2009-07-15 |