| NPI | 1962836460 |
|---|---|
| Doing Business As | PORT CITY ACADEMY |
| Entity Type | Organization |
| Authorized Contact | DAWN HARWOOD ALLEN CEO 704-982-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2020-09-28 |