NPI | 1184740987 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN KOPPELMEYER President 704-872-4157 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL099017) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2009-08-22 |