| NPI | 1972644334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MANESS Controller 704-986-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 251B00000X Case Management | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2025-08-26 |