NPI | 1013577931 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA CATRICE WILLIAMS CEO/President 704-957-3901 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient | |
3418M1110X Military Transport, Military or U.S. Coast Guard Ambulance, Ground Transport | |
Enumeration Date | 2019-06-13 |
Last Update Date | 2019-06-13 |