| NPI | 1144692419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA N MCNEIL Mental Health Professional 704-615-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |