| NPI | 1174067417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA SUMMERS Executive Director 704-548-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A12553) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |