| NPI | 1164773586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRECIOUS TANYANIKA LAJOY JACKSON CEO 704-747-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7563) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2018-04-18 |