| NPI | 1083856595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNON D GRAHAM CEO 704-366-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2025-08-28 |