| NPI | 1245776533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN DEVORE VP Corporate Compliance And Program 704-763-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-060-1331) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |