| NPI | 1013369313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY L GILLISPIE CEO 704-706-7913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 2016) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |