| NPI | 1205722618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY LOUISE ALEXANDER CLARK President 704-200-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |