| NPI | 1194912568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY W. LANGSTON Director Of Counseling 704-843-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 561563105) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |