| NPI | 1073883328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE MARIAN FLETCHER Executive Director 704-849-9132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |