| NPI | 1053716878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAWA ELIZABETH HUNT Director Of Operations 704-567-8953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |