NPI | 1174359962 |
---|---|
Entity Type | Organization |
Authorized Contact | LUREDIA COOPER Owner 704-968-5471 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-09-10 |
Last Update Date | 2024-09-10 |