| NPI | 1982772372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN ROBERSON President 704-206-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC mhl-060-852) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-05-29 |