| NPI | 1013051556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE EDWARDS Executive Director 704-568-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 060-461) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2020-08-22 |