| NPI | 1013212752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY OLSEN President 704-797-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7520) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |