| NPI | 1134372956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WESLEY REAVES CEO/Owner 704-708-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2009-01-15 |