| NPI | 1003998212 |
|---|---|
| Other Name | ADULT HOMELESS SUBSTANCE ABUSE TREATMENT-OFFSITE (MEN'S) |
| Entity Type | Organization |
| Authorized Contact | GRAYCE CROCKETT Area Director 704-336-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-060-144) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |