| NPI | 1013373224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CAROLINE MILLS Incorporator 704-964-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C006800) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |