| NPI | 1114024262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL D'ALTON WELLS CEO 704-288-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: NC MHL-077-042) |
| 251B00000X Case Management | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-07-11 |