| NPI | 1124393962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M KINCAID Director/Owner 828-413-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-026-837) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |