| NPI | 1245465889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANNON LEON JETT President/CEO 704-369-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 170951) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-07-22 |