| NPI | 1215032735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY FULK VP, Quality & Service Integration 704-533-0166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL060441) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC MHL032391) |
| 251S00000X Community/Behavioral Health (Licence: NC MHL034217) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-12-01 |