| NPI | 1972760395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY WILLIAMS Executive Director 704-839-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2009-04-07 |