| NPI | 1134588833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY ALLEN HUNT Owner 704-222-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC v2015-1284-01) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |