| NPI | 1235399015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ALLEN MELVIN Owner 704-540-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 31951) |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2008-06-15 |