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