| NPI | 1033612825 |
|---|---|
| Former Legal Business Name | BEHAVIORAL HEALTH INTERVENTION CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MATTHEWS Owner 704-712-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2018-03-17 |