| NPI | 1205169018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS HERSHEY Principal/Finance Officer 704-572-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC DSS5416A) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2018-02-22 |