| NPI | 1174093751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DAVID LINEBERGER Owner 704-565-9879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |