| NPI | 1053733576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J VOTTA Executive Director 704-909-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |