| NPI | 1104158369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA STEELE Owner/Executive Director 704-864-9668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-036-279) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-09-28 |