| NPI | 1023253135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE CARLTON MOBLEY Co Owner 704-579-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 251S00000X) |
| Additional Taxonomies | 251B00000X Case Management (Licence: SC 251B00000X) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |