| NPI | 1245715424 |
|---|---|
| Former Legal Business Name | FULTON BEHAVIORAL HEALTH, LLC |
| Entity Type | Organization |
| Authorized Contact | FELIX E ALEXANDER Clinician 704-302-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2019-10-14 |