| NPI | 1124281290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J THOMAS Vice President 704-358-2714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NC H0071) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |