| NPI | 1073062568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRETT HUGHES Member 704-609-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 11078A) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |