| NPI | 1023231107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD LESSANE VP Finance 704-701-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-060-822) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-12-17 |