| NPI | 1992889893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA CLOSE Executive Director 704-499-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHl-060-549) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-060-675) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-02-14 |