| NPI | 1235757147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PARONETT-BALLARD Owner 704-883-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |