| NPI | 1235277120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA KAYE LITTLE Nc & Qi & Training Dir 704-344-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2014-01-13 |